Complaint Investigation Report

Facility is not clean – Complaint alleges that a resident’s room smelled of urine and the carpet was not clean. During LPA’s 3/11/2022 visit, LPA smelled urine in a resident’s room and observed that their bed did not have a mattress cover and the mattress had urine stains. LPA observed carpet stains throughout the facility. Per interviews, there is one maintenance person and it is their responsibility to spot clean the carpet, but it can be difficult to keep up considering they are the only maintenance person. Additionally, some stains come back and need to be cleaned multiple times.

Staff are not safeguarding resident's property – Complaint alleges that a resident came into another resident’s room and started going through their belongings. LPA confirmed through interview that there is a resident who has a behavior of going into other resident’s rooms. Per interview, staff have observed resident with items belonging to other residents and staff try to redirect.

The allegation that Resident's care needs are not being met, Facility is not clean and Staff are not safeguarding resident's property is Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.